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Contact Information

MARY L BEACH, D.C., C.C.S.P.
409 E FRONT ST
BLOOMINGTON, IL61701-5309
 Phone: 309-828-3415
 Fax: 309-828-2665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARY L BEACH · (Female)

NPI Number 1013009083
Status Active
Credentials D.C., C.C.S.P.
Entity Individual
Enumeration date 09/28/2006
Last updated 09/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 038-005425
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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